The Observation Of Long-term Efficacy Of CRS Patients After FESS And Exploring The Correlation With TCM Syndromes

Objective:The purpose of this study is to observe the long-term efficacy of CRS patients after FESS,combining with determinate patients TCM syndromes,to explore the correlation between long-term efficacy of CRS patients after FESS and TCM syndromes,further to provide reference in TCM participating in CRS patient’s perioperative treatment after FESS.So it’s hoping to improve the long-term efficacy of after FESS in CRS patients,further to reduce the recurrence of after FESS in CRS patients,so as to exert the superiority of TCM.Methods:Selected 118 patients with CRS who were treated with FESS in our hospital in accordence with the guildlines for the diagnosis and treatment of chronic rhinosinusitis in china(2012),from January 1,2017 to March 31,2019.they were followed the regularly reviews after FESS at least 1 year.Gathering the dates including(pre-operation and post-operation symptoms VAS scores,post-operation endoscopy scores,ect),by observing the long-term efficacy of CRS patients after FESS and judging the long-term efficacy of CRS patients after FESS accroding to the effiency evalution standard form the guildlines for the diagnosis and treatment of chronic rhinosinusitis in china(2012),separating groups according to the long-term efficacy of after FESS in CRS patients and performing the TCM Syndrome,exploring the correlation between long-term efficacy of CRS patients after FESS and TCM Syndromes.Results:Compared with pre-operation in CRS patients,the symptoms VAS scores and endoscopy scores in post-operation CRS patients is very low,there has obvirous differences(P<0.05);In the long-term efficacy of after FESS in 118 CRS patients,the rate of completely controlled group is 46.6%,the rate of partial controlled group is 23.7%,the rate of uncontrolled group is 23.7%.In the distribution of TCM Syndromes in 118 CRS patients,there are five TCM sydromes which the sepreately rate of Gallbladder-fu heat-depression syndrome,Lung-meridian heat-accumulation syndrome,Lung-qi deficiency-cold syndrome,Spleen-stomach damet-heat syndrome,Spleen-qi deficiency-weak syndrome is 16.1%,9.3%,10.2%,22.7%,41.5%;the long-term efficacy of CRS patients after FESS who have different TCM syndromes are vary.There has obvious differences in the long-term efficacy when Lung-qi deficiency-cold syndrome CRS patients compared with Lung-meridian heat-accumulation syndrome CRS patients,as well as with Spleen-stomach damet-heat syndrome CRS patients(P<0.05);There have obvious differences in the long-term efficacy when Spleen-qi deficiency-weak syndrome CRS patients compared with Gallbladder-fu heat-depression syndrome CRS patients,Lung-meridian heat-accumulation syndrome CRS patients,Spleen-stomach damet-heat syndrome CRS patients(P<0.05);there’s no differences in long-term efficacy between Lung-qi deficiency-cold syndrome and Spleen-qi deficiency-weak syndrome(P>0.05).the long-term efficacy outcome of CRS patients after FESS will worse when the CRS patients had bronchial asthma,allergic rhinitis.Conclusion:The rate of the long-term uncontrolled group in CRS patients after FESS is very low.in the distribution of TCM syndrome in 118 CRS patients,the most TCM syndromes are Spleen-stomach damet-heat syndrome and Spleen-qi deficiency-weak syndrome;the long-term efficacy of CRS patients after FESS has closely correaltion with TCM syndromes,especially the long-term efficacy will be poor in Lung-qi deficiency-cold syndrome CRS patients and Spleen-qi deficiency-weak syndrome CRS patients,there has closely correaltion in the long-term efficacy of CRS patients after FESS with lung-spleen qi-deficiency.